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Pediatric Femur Fractures

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This post delves into the nuances of pediatric femoral shaft fractures.
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Patella Tendon Rupture

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This post reviews patellar tendon ruptures with a focus on recognition and management.
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Journal Review

Wells’ Score + D-dimer to Rule Out PE

Filed Under: Tags: , , , September 6th, 2018 Leave a Comment

In the US, pulmonary embolism (PE) kills 100,000 people each year and over 360,000 new cases of PE are diagnosed each year (Horlander 2003). Currently, the gold standard for diagnosing PE is the computed tomographic pulmonary angiography (CTPA). Patients with PE present with varying symptoms, from anxiety and tachycardia, to shortness of breath and syncope.
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Sacral Fractures

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This post reviews sacral fractures with a focus on diagnosis and associated injuries.
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Journal Review

STONE Study – Efficacy of Tamsulosin in Ureteral Colic

Filed Under: Tags: , , September 4th, 2018 Leave a Comment

Ureteric (renal) colic is a common, painful condition encountered in the Emergency Department (ED). Sustained contraction of smooth muscle in the ureter as a kidney stone passes the length of the ureter leads to pain. The majority of stones will pass spontaneously (i.e. without urologic intervention). For over a decade, calcium channel blockers (i.e. nifedipine) and,
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Achilles Tendon Rupture

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This post reviews Achilles tendon tears and ruptures.
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Journal Review

Comparison of IM Midazolam, Olanzapine, Ziprasidone and Haloperidol for Sedation

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Emergency providers frequently care for agitated patients ranging from restlessness to verbally and physically aggressive. Agitation is a symptom, not a diagnosis and these patients require careful evaluation to rule in or out serious medical conditions. Unfortunately, the agitation itself often obstructs this evaluation and places the patient, other patients and staff at risk. While verbal de-escalation can be effective in select cases,
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Traumatic Arthrotomy

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This post reviews the presentation, diagnosis and management of traumatic arthrotomy.
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